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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.

More about Dr. Sathi Raju Rama Lingeshwarulu

Dr. Sathi Raju Rama Lingeshwarulu is a renowned General Physician in Adibatla, Hyderabad. He has been a practicing General Physician for 37 years. He studied and completed MBBS. You can consult Dr. Sathi Raju Rama Lingeshwarulu at Dr.Raju's Clinic in Adibatla, Hyderabad. You can book an instant appointment online with Dr. Sathi Raju Rama Lingeshwarulu on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 42 years of experience on Lybrate.com. You can find General Physicians online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

It is not a disease and need not worry Ejaculation of semen during sexual intercourse before or immediately after penetration. Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern.
The primary symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem may occur in all sexual situations, even during masturbation.
Premature ejaculation can be classified as lifelong (primary) or acquired (secondary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters. Acquired premature ejaculation has the same symptoms but develops after you've had previous sexual experiences without ejaculatory problems.
Many men feel that they have symptoms of premature ejaculation, but the symptoms do not meet the diagnostic criteria for premature ejaculation. Instead these may have natural variable premature ejaculation, which is characterized by periods of rapid ejaculation as well as periods of normal ejaculation.
Psychological causes
Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life, such as:
• Situations in which you may have hurried to reach climax in order to avoid being discovered
• Guilty feelings that increase your tendency to rush through sexual encounters
Other factors that can play a role in causing premature ejaculation include:
• Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse may form a pattern of rushing to ejaculate, which can be difficult to change.
• Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
• Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it's possible that interpersonal issues between you and your current partner are contributing to the problem.
Biological causes
A number of biological factors may contribute to premature ejaculation, including:
• Abnormal hormone levels
• Abnormal levels of brain chemicals called neurotransmitters
• Abnormal reflex activity of the ejaculatory system
• Certain thyroid problems
• Inflammation and infection of the prostate or urethra
• Inherited traits
• Nerve damage from surgery or trauma (rare)
Common treatment options for premature ejaculation include behavioural techniques, topical anaesthetics, oral medications and counselling. Keep in mind that it may take a little time to find the treatment or combination of treatments that will work for you.
Behavioural techniques
In some cases, therapy for premature ejaculation may involve taking simple steps, such as masturbating an hour or two before intercourse so that you're able to delay ejaculation during sex. You may try avoiding intercourse for a period of time and focusing on other types of sexual play so that pressure is removed from your sexual encounters. You can also try diverting your mind before ejaculation is ready to come and proceeding after a brief break, thereby prolonging duration of intercourse / action
The pause-squeeze technique
You and your partner can use of a method called the pause-squeeze technique. This method works as follows:
1. Begin sexual activity as usual, including stimulation of the penis, until you feel almost ready to ejaculate.
2. Have your partner squeeze the end of your penis, at the point where the head (glans) joins the shaft, and maintain the squeeze for several seconds, until the urge to ejaculate passes.
3. After the squeeze is released, wait for about 30 seconds, then go back to foreplay. You may notice that squeezing the penis causes it to become less erect, but when sexual stimulation is resumed, it soon regains full erection.
4. If you again feel you're about to ejaculate, have your partner repeat the squeeze process.
By repeating this as many times as necessary, you can reach the point of entering your partner without ejaculating. After a few practice sessions, the feeling of knowing how to delay ejaculation may become a habit that no longer requires the pause-squeeze technique.
Topical anaesthetics
Anaesthetic creams and sprays that contain a numbing agent, such as lidocaine or procaine, are sometimes used to treat premature ejaculation. These products are applied to the penis a short time before sex to reduce sensation and thus help delay ejaculation. A lidocaine spray for premature ejaculation is available
Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. In some cases, female partners also have reported these effects. In rare cases, lidocaine or procaine can cause an allergic reaction.
Oral medications
Many medications may delay orgasm. Although none of these drugs is specifically worthwhile as people believe, approved medications may be prescribed for either on-demand or daily use, and may be prescribed alone or in combination with other treatments to treat premature ejaculation, some are used for this purpose, including antidepressants, analgesics and phosphodiesterase-5 inhibitors

Lybrate-user, herpes infection r of different types and are caused by different viruses like herpes simplex and herpes zoster, not all herpes infection can be sexually transmitted, so you can get herpes even without sexual contact.

Hay loose stools can happen with so many conditions so please share since when, is it foul smell, is feverish, sticky/red seen in stools.
If those due to indigestion/food allergy/. Yogurt tab will work well. Or else you need to consult in person as to maintain hydration with ors.

Your semen analysis report is average and does not have any serious problems, your wife too will need fertility testing, like hsg to check for any tubal block, follicular study to check ovulation, usg to check uterine and ovary status, consult me private for further details thank you

Consult a cardiologist, do tests like echo and trop I and other cardiac enzyme markers and angiography to diagnose heart attack. If heart attack is diagnosed then go for angioplasty or a heart bypass surgery.

Fatty LiverIt is also called nonalcoholic fatty liver disease in adults.It is an ongoing silent epidemic in India.Nonalcoholic fatty liver disease (NAFLD) refers to the presence of hepatic steatosis when there are no other causes for secondary hepatic fat accumulation such as heavy alcohol consumption.NAFLD may progress to cirrhosis and is likely an important cause of cryptogenic cirrhosisNAFLD is subdivided into nonalcoholic fatty liver (NAFL) and nonalcoholic steatohepatitis (NASH).In NAFLD, hepatic steatosis is present without evidence of inflammation, whereas in NASH, hepatic steatosis is associated with hepatic inflammation that histologically is indistinguishable from alcoholic steatohepatitisRisk factors for cirrhosis are, older age, diabetes, SGOT SGPT >2 times, BMI >28, higher visceral adiposity index, which takes into account waist circumference, BMI, triglycerides and high-density lipoprotein level, less coffee consumption, heavy alcohol intakeAs little as two drinks per day in those who are overweight (and one drink per day in those who are obese) is associated in hepatic injury.Liver cancer is associated with cirrhosis due to NAFLD.Heart disease is the most common cause of death among patients with NAFLD.Weight loss for patients who are overweight or obese is recommended.Goal for many patients is to lose 0.5 to 1 kg/week (1 to 2 lb/week).Vaccination for Hepatitis A and B, pneumococcal vaccination and standard immunizations (e.G, influenza, diphtheria, tetanus boosters) are recommended for the population in general.Risk factors for cardiovascular disease should be managed.Vitamin E at a dose of 400 IU/day may be suggested for those patients with advanced fibrosis on biopsy who do not have diabetes or coronary artery disease.Avoid all alcohol consumption.Heavy alcohol use is associated with disease progression among patients with NAFLD.Thiazolidinediones can improve histologic parameters in patients with NASH, metformin does not.UDCA has anti-inflammatory effects in the liverAtorvastatin has protective effect on SGOT, SGPT levels in patients with NAFLD.Pentoxifylline inhibits production of tumor necrosis factor-alpha and may be effective in NASH.Omega-3 fatty acids may benefit NAFLD or NASH.If serum ferritin >1.5 times the upper limit of normal: Progressive liver disease:If SGOT:SGPT > twice the upper limit of normal, then refer

Over 95 percent of malignancies arising in the prostate are adenocarcinoma. The remaining types include urothelial carcinoma, basal cell carcinoma, small cell carcinoma, lymphoma and sarcomas.

Core needle biopsy of the prostate is used to determine whether or not cancer is present in men with an elevated serum PSA level and/or an abnormal digital rectal examination.

The recommendation is to take multiple core biopsies under transrectal ultrasound guidance.

Primary diagnosis of prostate cancer by using fine needle aspiration is not acceptable.

When positive, the combined Gleason score, based upon architectural features of the prostate cancer cells, should be reported because it correlates closely with clinical behavior and has been incorporated into the tumor node metastasis (TNM) prognostic group staging system.

One should also report number of positive cores, the percentage (or length) of cancer in the positive core, the presence of perineural invasion or extraprostatic extension, and the presence of histologic types other than conventional adenocarcinoma.

The accuracy of pathological diagnosis of prostate cancer can be improved by using immunohistochemistry markers.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS

Urologist

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Dear
firstly rule out diabetes, by checking fasting blood sugar which should be below 120 mg. Between 120 to 126 you are on border line and should take precautions same as diabetes. If fasting blood sugar is below 120 then
1. Keep area of itching dry.
2. Apply starch base powder three four times day
3. Refrain from scratching as far as possible.
4. If these measures do not help i'm afraid you will have to consult dermatologist or physician.

Dear lybrate user. I can understand. Both thd problems you are mentioning here are normal and are not related in essence. You see liquid when you are sexually excited. This liquid is not urine but a lubricator called precum. This lubricator helps in easy vaginal penetration. Urination urge is normal after masturbation. Don't worry. Take care.

Having sexual attractions towards females at your age is completely acceptable. However being attracted to have sex with older females is just a sexual preference. This can also be just a phase of your sexual life. Once you get along with someone of your age and be in a long term relationship this might change. If you feel you have irresistible urges towards sex and feel guilty of your feelings, this could be an obsession, in that case you may consult a psychiatrist for counseling and/ or medications.

This is happening due to insufficiency of hormones and improper functions of serotonin. The good news is that this is easily treatable with ayurvedic tablets. These tablets improve blood supply to penis and nourish muscles and blood vessels of penis thereby making erection hard and painless. At the same time, these tablets improve functions of serotonin thereby delaying ejaculation significantly. Just let me know your age, height, weight and other symptoms if any so as to arrive at perfect prescription. Regards